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- !STMT
- PAGE !ITEM !
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- DEPRECIATION OF AUTOMOBILES AND OTHER LISTED PROPERTY
- !NAME SSN: !SSN !
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- THIS STATEMENT SUPPORTS FORM 4562 !S0 , PART III
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- **** SECTION A - SPECIFIC INFORMATION ON LISTED PROPERTY ***************
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- A. DESCRIPTION................. #00
- B. DATE IN SERVICE (M/Y)....... #01 / #02
- C. PERCENT USED IN BUSINESS ... #03 %
- D. COST OR OTHER BASIS ........ #04
- E. RECOVERY PERIOD (YRS) ...... #05 YRS
- F. METHOD ..................... #06
- DEPRECIATION RATE .......... #07 %
- G. DEPRECIATION DEDUCTION ..... #08
- H. SECTION 179 EXPENSE ........ #09
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- **** SECTION B - QUESTIONS REGARDING USE OF LISTED PROPERTY ************
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- SEE FORM 4562 FOR RESPONSES
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- **** SECTION C - INFORMATION REGARDING USE OF VEHICLES *****************
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- 6. TOTAL MILES DRIVEN IN THE YEAR ...... #10
- 7. TOTAL BUSINESS MILES DRIVEN ......... #11
- 8. TOTAL COMMUTING MILES DRIVEN ........ #12
- 9. TOTAL OTHER PERSONAL MILES .......... #13
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- 10. WAS VEHICLE AVAILABLE FOR PERSONAL USE DURING OFF HRS? . [#14
- 11. IS ANOTHER VEHICLE AVAILABLE FOR PERSONAL USE?.......... [#15
- 12. WAS THE VEHICLE USED PRIMARILY BY A DISQUALIFIED PERSON? [#16
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